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General NPI Number Information
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NPI Number | 1073331898
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Entity Type | Individual
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Provider Name | LIBBY ANDERSON ED.S
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1303 STATE ROAD 128 E
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City | FRANKTON
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State | IN
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Zip | 46044-9206
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Country | US
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Telephone | 765-754-7545
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Fax | 765-754-8598
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Provider Business Mailing Address
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Address Line | 7388 N 750 W
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City | FRANKTON
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State | IN
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Zip | 46044-9467
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 10101196
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License Number State | IN
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